Form 5500 · Employee benefit plan · FARGO, ND
FARGO GLASS & PAINT COMPANY
The filing calls this plan FARGO GLASS & PAINT CO HEALTH PLAN.
Public Form 5500 records show how FARGO GLASS & PAINT COMPANY of FARGO, ND, a wholesale trade employer, structures its employee benefits. Its broker of record is MARSH AND MCLENNAN AGENCY. Coverage is written through BLUE CROSS BLUE SHIELD OF NORTH DAKOTA. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-0129600 · plan 503 · plan year 2024, filed Jun 24, 2025
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 1 insured contract covering health and stop-loss; the largest, with BLUE CROSS BLUE SHIELD OF NORTH DAKOTA, covers 226 people.
The filing lists a stop-loss contract. On its own that does not settle whether the plan pays its own claims.
Reported premium across the insured contracts is $1,536,456, with $21,970 in disclosed broker commissions — about 1.4% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | Health, Stop-loss | 226 | Jan 1, 2025 | $1,536,456 | $21,970 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 147 employees, 12 recordable cases, 62 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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